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AstraZeneca beats profit expectations, keeps annual outlook unchanged

Published by Global Banking & Finance Review

Posted on April 29, 2026

3 min read

· Last updated: April 29, 2026

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AstraZeneca tops profit estimates, warns US drug pricing could hit launches elsewhere

Strong Financial Performance and Market Outlook

By Pushkala Aripaka and Maggie Fick

April 29 (Reuters) - AstraZeneca beat first-quarter profit expectations and kept its 2026 forecasts on Wednesday, buoyed by strong demand for cancer and rare-disease drugs, but warned that U.S. pricing policies could jeopardise future drug launches elsewhere.

Revenue Targets and Market Strategy

CEO Pascal Soriot said the drugmaker remained on track to hit its $80 billion annual revenue target for 2030, supported by planned launches and continued investment in its key U.S. and Chinese markets.

Impact of US Pricing Policies

However, he cautioned that the U.S. "most-favored nation" policy, which links U.S. medicine prices to lower prices abroad, including in Europe, could deter companies from launching new medicines there and in other wealthy markets such as Japan. The U.S. is the industry's largest market.

Investment in Britain

On a media call, Soriot also highlighted a 300-million-pound ($405 million) investment in Britain, after AstraZeneca paused large-scale projects there last year.

At the time, AstraZeneca was among several drugmakers that halted investments, accusing Britain of undervaluing the sector and innovation.

Global Pricing and Regulatory Environment

Recent US-UK Deal

Soriot said a U.S.-UK deal finalised this month, which increases what Britain will pay for new medicines, was a "step in the right direction" on pricing, adding that similar discussions were under way across Europe.

Risks to European Competitiveness

He reiterated industry warnings that Europe risks losing research, development and manufacturing investment if its competitiveness continues to erode, while praising what he called the "innovative" policies of U.S. and Chinese regulators.

Product Pipeline and Financial Forecasts

Upcoming Drug Launches

AstraZeneca expects up to 20 new medicine launches by 2030, including potential U.S. approvals this year for baxdrostat for high blood pressure, camizestrant for a type of breast cancer and gefurulimab for a chronic autoimmune disease.

Growth Projections

The drugmaker maintained its forecast for low-double-digit percentage growth in core earnings ​at constant currencies in 2026, and mid-to-high single-digit revenue growth, after reporting sales growth of 8% and profit growth of 11% for 2025.

First Quarter 2024 Results

For the first quarter ended March 31, revenue rose 8% to $15.29 billion, while core earnings came in at $2.58 per share, beating consensus forecasts of $14.9 billion and $2.54.

"A solid quarter, with a modest topline beat," said Rich Goss, investment director, developed market equities, at Aberdeen, an AstraZeneca shareholder.

Sales by Segment and Market

Oncology sales rose 16% and rare-disease sales 15%, with revenue up 10% in the U.S. and 2% in China.

AstraZeneca shares were down 1.5% at 137 pounds at 1300 GMT, suggesting investors had already priced in the results and some disappointment that the company did not raise its forecasts.

Additional Information

($1 = 0.7407 pounds)

(Reporting by Pushkala Aripaka, Sri Hari N S in Bengaluru and Maggie Fick in London. Editing by Bernadette Baum and Mark Potter)

Key Takeaways

  • Strong oncology performance: cancer drug sales surged around 20% in late 2025/Q1 2026, driving overall results and offsetting pressures in other segments (whtc.com).
  • Geopolitical and regional resilience: investments such as a $50 billion U.S. manufacturing deal and $15 billion China expansion underpin growth amid geopolitical and pricing headwinds (whtc.com).
  • Outlook maintained: despite macro and pricing uncertainties, AstraZeneca kept its 2026 outlook unchanged—expecting mid‑to‑high single‑digit revenue growth and low double‑digit core profit increase (whtc.com).

References

Frequently Asked Questions

Did AstraZeneca beat profit expectations for the first quarter?
Yes, AstraZeneca surpassed first-quarter sales and profit expectations.
What helped drive AstraZeneca's profits in Q1?
Increased demand for cancer drugs and investments in the U.S. and China contributed to AstraZeneca's profits.
Has AstraZeneca changed its 2026 financial outlook?
No, AstraZeneca has maintained its financial outlook for 2026.

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